Active NPI
Allan Moltmaker, LMT
- Massage Therapist
- Clinton Township, MI
National Provider Identifier
1376998617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501006283
- Practice address
- 22681 Morelli Dr
Clinton Township, MI 48036-1152 - Phone
- (586) 221-0138
- NPI assigned
- Apr 24, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501006283 | MI | Primary |
Addresses
Primary practice location
22681 Morelli Dr
Clinton Township, MI 48036-1152
Mailing address
247 Wellington Cres
Mount Clemens, MI 48043-2946
Phone (586) 221-0138
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | allan@reflexmanualtherapy.com | Direct | Reflex Manual Therapy LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7501006283 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reflex Manual Therapy LLC | Massage Therapist | Current | Accepting new patients |
Locations
22681 Morelli Dr
Clinton Township, MI 48036
Phone (586) 221-0138
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Clinton Township, MI
- NPI 1992316871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1376998617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 WELLINGTON CRES",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432946",
"telephone_number": "586-221-0138",
"fax_number": "707-220-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22681 MORELLI DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480361152",
"telephone_number": "586-221-0138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLTMAKER",
"first_name": "ALLAN",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-24",
"last_updated": "2023-11-27",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501006283",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "allan@reflexmanualtherapy.com",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Reflex Manual Therapy LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "22681 Morelli Dr",
"city": "Clinton Township",
"state": "MI",
"country_code": "US",
"postal_code": "480361152",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.